Internal hernia as one of the causes of abdominal pain

V. M. Kitaev; Китаев Вячеслав Михайлович; E. G. Koshelev; Кошелев Эдуард Геннадиевич; O. V. Sokolova; Соколова Ольга Вячеславовна; G. Yu. Belyaev; Беляев Георгий Юрьевич; A. A. Egorov; Егоров Андрей Андреевич; O. O. Kurzantseva; Курзанцева Ольга Олеговна

doi:10.17816/clinpract10227-35

Internal hernia as one of the causes of abdominal pain

Authors: Kitaev V.M.¹, Koshelev E.G.²^,3, Sokolova O.V.¹, Belyaev G.Y.²^,4, Egorov A.A.⁴, Kurzantseva O.O.⁵^,6
Affiliations:
1. Institute of Advanced Medical Studies of the National Medical and Surgical Center of N.I. Pirogov
2. Central State Medical Academy of the Office of the President of the Russian Federation
3. City Clinical Hospital № 1 of. N.I. Pirogov
4. «Polyclinic № 2» of the Office of the President of the Russian Federation
5. Federal Scientific and Clinical Center of Specialized Types of Medical Care and Medical Technologies of the Federal Medical and Biological Agency of Russia
6. City Clinical Hospital of S.P. Botkin
Issue: Vol 10, No 2 (2019)
Pages: 27-35
Section: Original Study Articles
URL: https://journals.rcsi.science/clinpractice/article/view/15199
DOI: https://doi.org/10.17816/clinpract10227-35
ID: 15199

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Abstract

Abdominal pain is often observed in clinical practice, causing diagnostic difficulties for doctors of different specialties. Internal hernias are a surgical pathology and may be the cause for the development of acute small bowel obstruction and the occurrence of pain. A modern classification of internal hernias is presented and their topographic-anatomical description is given. The analysis of the results of computed tomography (CT) scan of the abdominal cavity in 20 patients with an unidentified cause of abdominal pain was performed. According to the CT data, three patients had internal hernias that caused the development of pain syndrome. A pathological displacement of intestinal loops with partial disruption of intestinal permeability and curvature of the mesentery without critical disturbance of blood supply was demonstrated in 4 patients with abdominal pain. The findings suggest that CT may be the method of choice when examining patients with an unknown cause of abdominal pain syndrome.

Keywords

abdominal pain, computed tomography, radiation diagnosis, emergency surgery, internal hernias

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About the authors

V. M. Kitaev

Institute of Advanced Medical Studies of the National Medical and Surgical Center of N.I. Pirogov

Email: vm_kitaev@list.ru

д-р мед. наук, профессор, зав. кафедрой лучевой диагностики с курсом клинической радиологии

Russian Federation, Moscow

E. G. Koshelev

Central State Medical Academy of the Office of the President of the Russian Federation; City Clinical Hospital № 1 of. N.I. Pirogov

Author for correspondence.
Email: koshelev.69@mail.ru
ORCID iD: 0000-0002-5494-0327
SPIN-code: 1596-2537

канд. мед. наук, доцент кафедры рентгенологии и ультразвуковой диагностики; зав. отделением КТ и МРТ

Russian Federation, Moscow

O. V. Sokolova

Institute of Advanced Medical Studies of the National Medical and Surgical Center of N.I. Pirogov

Email: koshelev.69@mail.ru

д-р мед. наук, врач-гастроэнтеролог отделения гастроэнтерологии

Russian Federation, Moscow

G. Yu. Belyaev

Central State Medical Academy of the Office of the President of the Russian Federation; «Polyclinic № 2» of the Office of the President of the Russian Federation

Email: kgeorgybelyaev@yandex.ru
ORCID iD: 0000-0002-1119-9102
SPIN-code: 2169-5450

канд. мед. наук, врач-рентгенолог, зав. отделением

Russian Federation, Moscow

A. A. Egorov

«Polyclinic № 2» of the Office of the President of the Russian Federation

Email: egorov.scan@gmail.com
ORCID iD: 0000-0002-8609-6319

врач-рентгенолог

Russian Federation, Moscow

O. O. Kurzantseva

Federal Scientific and Clinical Center of Specialized Types of Medical Care and Medical Technologies of the Federal Medical and Biological Agency of Russia; City Clinical Hospital of S.P. Botkin

Email: olgakurzan@yandex.ru
ORCID iD: 0000-0003-2648-1677
SPIN-code: 6971-0232

канд. мед. наук, доцент, доцент кафедры лучевой диагностики и маммологии

Russian Federation, Moscow

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